Pilonidal disease in a military population: how far have we really come?

Autor: Fitzpatrick EB; Department of Surgery, Madigan Army Medical Center, 9040-A Fitzsimmons Drive, Tacoma, WA 98431, USA., Chesley PM; Department of Surgery, Madigan Army Medical Center, 9040-A Fitzsimmons Drive, Tacoma, WA 98431, USA., Oguntoye MO; Department of Surgery, Madigan Army Medical Center, 9040-A Fitzsimmons Drive, Tacoma, WA 98431, USA., Maykel JA; Department of Surgery, UMass Memorial Medical Center, Worcester, MA, USA., Johnson EK; Department of Surgery, Madigan Army Medical Center, 9040-A Fitzsimmons Drive, Tacoma, WA 98431, USA., Steele SR; Department of Surgery, Madigan Army Medical Center, 9040-A Fitzsimmons Drive, Tacoma, WA 98431, USA. Electronic address: harkersteele@mac.com.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2014 Jun; Vol. 207 (6), pp. 907-14. Date of Electronic Publication: 2013 Oct 26.
DOI: 10.1016/j.amjsurg.2013.07.038
Abstrakt: Background: Pilonidal disease (PD) has a long connection with military personnel, even nicknamed "jeep disease" during World War II. The aim of this study was to identify factors associated with recurrence and complications after surgery in a military population.
Methods: A retrospective cohort analysis of operative therapy for PD at a single institution from 2005 to 2011 was conducted. Patient demographics, disease characteristics, and surgical methods were assessed for the primary outcomes of recurrence and morbidity.
Results: A total of 151 patients with PD were identified, who underwent excision (45.7%), excision with primary closure (29.8%), and incision and drainage (9.9%). Overall recurrence and morbidity rates were 27.2% and 34.4%, respectively. Black race, chronic disease, wound infection, and infection and drainage were associated with recurrence (P < .05), and excision with primary closure was associated with increased complications (P < .001).
Conclusions: PD remains a significant source of morbidity and recurrence among military personnel. Certain patient-related and disease-related factors portend a worse prognosis, with black race and operative method the strongest predictors of outcomes.
(Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: